Newborn screening for Duchenne muscular dystrophy

Pediatrics. 1975 Jan;55(1):30-4.

Abstract

Duchenne muscular dystrophy (DMD) occurs in about 1 of 3,000 to 4,000 boys. Laboratory evidence of the disease, notably elevated creatinephosphokinase (CPK), is present already in the newborn infant. Unspecific CPK elevation occurs in the newborn as well, yet disappears shortly thereafter, while in DMD patients the CPK remains high throughout infancy. A new method to reliably determine CPK in a drop of dried blood is described. The method fulfills the criteria given for a suitable screening method in the newborn infant. Although DMD is an incurable disease, early diagnosis has benefits. The latter include early beginning of supportive treatment and particularly recognition of heterozygous carriers of the mutant gene before other affected children are born in a stricken family. It is proposed to adopt the method as a new screening procedure for male newborn infants.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adenosine Diphosphate
  • Adenosine Triphosphate
  • Blood Specimen Collection / methods
  • Buffers
  • Creatine
  • Creatine Kinase / blood*
  • Dithiothreitol
  • Firefly Luciferin
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Newborn, Diseases / diagnosis*
  • Infant, Newborn, Diseases / enzymology
  • Light
  • Luciferases
  • Magnesium
  • Male
  • Mass Screening / methods*
  • Muscular Dystrophies / congenital*
  • Muscular Dystrophies / diagnosis
  • Muscular Dystrophies / enzymology
  • Sex Factors
  • Umbilical Cord

Substances

  • Buffers
  • Firefly Luciferin
  • Adenosine Diphosphate
  • Adenosine Triphosphate
  • Luciferases
  • Creatine Kinase
  • Magnesium
  • Creatine
  • Dithiothreitol